Search › New York › 152W00000X
Jisoo Shin, O.D
NPI 1962527846 · on the registry since 2007 · sole proprietor
Practice
- Address
- 971 Central Park Ave
Suite 5
Scarsdale, NY 10583 - Phone
- (914) 723-7392
- Fax
- (914) 723-1004
- Organisation at this address
- Skylight Optical Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York